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festo of a liberal profession. Moreover, I fully sympathize
with the desire expressed in the concluding ]3aragraph, for
reasonable legislation with a view to diminish the needless
temptations to drink that are offered to the poor ; and, had the
declaration conhned itself to this topic, I could have found
no ftiult with it ; but with the lirst and second paragraphs I
entirely cheap elavil disagree. It is not that they make any statement
MISCELLAinEOUS AND SCIENTIFIC N0TE3. 329
wliicli, ahstractedly taken, is alto.o;etlier incorrect ; but I enter-
tain no donbt whatever that their general sense, as it will he
read by the public, conveys elavil mg a false impression, and one which
is calculated to do more elavil uses harm than good.
" It is, in the first place, both a false and a mischievous
idea that any considerable percentage of the drinking-habits
of any class of English society springs from the improper pre-
scription of alcohol by medical men. That such improper
prescriptions may^ and occasionally do, cause drunken habits,
I have not merely admitted, but elaborately proved on more
than buy elavil online one occasion. But I protest now, as I have protested
before, that, elavil 25 in nine-tenths of the cases in which doctors have
been blamed as the occasion of the evil habit, the accusation
has been the mere invention of a lying drunkard anxious for
a scape-goat to bear a portion of his disgrace. But the first
paragraph of the declaration will undoubtedly be read by the
public as a distinct admission that the medical profession has
had a relatively considerable share in the spread of intem-
perance. I believe such a statement to be ridiculously false ;
and I would further suggest that, elavil for anxiety were it true, the eminent
physicians signing this document, among whom are included
a large majority of the teachers who have educated the recent
generations of medical practitioners, ought to cast dust upon
their own heads for having reared their pupils in such scan-
dalous and mischievous ignorance of their duties.
" In regard to the second paragraph, I insist that it will
convey to the public an entirely false impression as to the
state of competent scientific opinion. It will undoubtedly be
taken as a confirmation of the now obsolete doctrine of Lalle-
mand, that alcohol is treated by the organism as a merely
foreign stimulant, and is not decomposed therein. Now, I
appeal fearlessly to Dr. Parkes (the only one of the signers of
the declaration who has elavil 50mg done recent experimental work re-
garding alcohol) to say whether his latest experiments have
not strongly confirmed the refutation, by Schulinus, Dupre,
and myself, of Lallemand's doctrines regarding elimination of
unchanged elavil 10mg alcohol. In a letter which" Dr. Parkes was kind
enough to send me some few months since, he confessed, with
that candor and high-mindedness which have ever distin-
fuished him, that such was the case. I therefore believe that
)r. Parkes must have neglected to consider carefully the sense
in which the declaration will inevitably be read by ignorant
persons.
"But, finall}- — and this is really the most important point
of all — I most distinctly object to the kind of dictation by
which the signature of this paper has been obtained. The
secretary of the Temperance League puts pressure on the
330 MISCELLANEOUS AND SCIENTIFIC NOTES.
editor of the British Medical Journal, and the latter gentle-
man proceeds to put pressure (exceedingly difficult to resist)
on a number of eminent professional men. To my own per-
sonal knowledge this declaration has been signed by numbers
of gentlemen who have scarcely given a elavil 10 mg thought to the prin-
ciples which it aflSrms, and who have confessed to me that
their only reason for signing was the fear of seeming elavil 25 mg to oppose
so good a work as the mitigation of intemperance. This is a
mere terrorism, and ought to be resisted. It is a repetition of
the very useless and mischievous farce which was gone through
some twelve years ago, when crowds of medical men, who in
their own private opinions and practice were wholly opposed
to teetotalism, were induced to sign a paper advocating views
the only logical interpretation of whicli was elavil amitriptyline that alcohol was online elavil
always and everywhere an unmitigated poison. The climax
of that most indecorous exhibition was the discovery that
several of the most eminent signers had also certified warmly
and publicly to the great virtues of certain special wines and
beers! I say that all that kind of insincere and skin -deep phi-
lanthropy is degrading to the profession ; and, although I will
cooperate with elavil 50 mg any one to get a reasonable licensing bill
througli Parliament, I can liave no part in a elavil buy declaration which
is in no sense the accurate and spontaneous expression of the
medical opinion of this country."
An English View of the Profession in America. — In the 3fed-
ical Times and Gazette of January Gth we find the following
liberal and appreciative remarks on the progress of medicine
in this country :
We take the opportunity of saying something on elavil 10 a subject
which has long engaged our attention, and which recently
has been rapidly assuming a greater and greater importance.
It is at once our duty and our pleasure to watch the changes
of medical doctrine and the improvements in practice, as they elavil for
are gradually evolved at home and abroad, and nothing has
struck us so much of late as the marvellous strides American
medicine has elavil 50 made within a few short years. This was most
forcibly brought home to us a little Mobile ago, when we were
asked to recommend a book as the best on each of a certain
number elavil used for of subjects. The list was not a long one, and yet
about one-half of those we had it on om- conscience to recom-
mend were American. I^ow, if this is not saying much elavil 25mg for
ourselves, it is saying much for our American brethren.
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